Laquanta Jackson

NPI #1194372953 in Olympia Fields, Illinois

Provider Information

NPI Number
1194372953
Entity Type
Individual
Name
Laquanta Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Enumeration Date
Aug 26, 2019
Last Updated
Aug 26, 2019

Practice Location

Address
2430 ATHENS RD
ZIP Code
60461-1954
Phone
(708) 790-0366

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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